Septic shock due to co-infection with Legionella pneumophila and Saprochaete clavata
Septic shock is the most dreaded presentation of an infection, carrying a reserved prognosis. Appropriate antimicrobial therapy is therefore the mainstay of treatment, alongside organ support as needed. Legionnaires’ disease is mainly due to Legionella pneumophila serogroup 1 but it can be caused by...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2022-01-01
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Series: | IDCases |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250921003255 |
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author | João Paulo Caldas André Silva-Pinto Ana Sofia Faustino Paulo Figueiredo António Sarmento Lurdes Santos |
author_facet | João Paulo Caldas André Silva-Pinto Ana Sofia Faustino Paulo Figueiredo António Sarmento Lurdes Santos |
author_sort | João Paulo Caldas |
collection | DOAJ |
description | Septic shock is the most dreaded presentation of an infection, carrying a reserved prognosis. Appropriate antimicrobial therapy is therefore the mainstay of treatment, alongside organ support as needed. Legionnaires’ disease is mainly due to Legionella pneumophila serogroup 1 but it can be caused by other serogroups and species not detected by the urinary antigen test. Anti-tumour necrosis factor α therapy may increase the risk of invasive fungal infection, which carry a poor prognosis. We present a challenging case of a septic shock due to Legionella pneumophila and Saprochaete clavata infections, with a review of the two infections presented. |
first_indexed | 2024-12-13T02:10:05Z |
format | Article |
id | doaj.art-0533ff16216643cf96a00caee1583681 |
institution | Directory Open Access Journal |
issn | 2214-2509 |
language | English |
last_indexed | 2024-12-13T02:10:05Z |
publishDate | 2022-01-01 |
publisher | Elsevier |
record_format | Article |
series | IDCases |
spelling | doaj.art-0533ff16216643cf96a00caee15836812022-12-22T00:03:02ZengElsevierIDCases2214-25092022-01-0127e01369Septic shock due to co-infection with Legionella pneumophila and Saprochaete clavataJoão Paulo Caldas0André Silva-Pinto1Ana Sofia Faustino2Paulo Figueiredo3António Sarmento4Lurdes Santos5Correspondence to: Infectious Diseases Department, Centro Hospitalar Universitário de São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal.; Infectious Diseases Department of Centro Hospitalar Universitário de São João, Oporto, PortugalInfectious Diseases Department of Centro Hospitalar Universitário de São João, Oporto, PortugalInfectious Diseases Department of Centro Hospitalar Universitário de São João, Oporto, PortugalInfectious Diseases Department of Centro Hospitalar Universitário de São João, Oporto, PortugalInfectious Diseases Department of Centro Hospitalar Universitário de São João, Oporto, PortugalInfectious Diseases Department of Centro Hospitalar Universitário de São João, Oporto, PortugalSeptic shock is the most dreaded presentation of an infection, carrying a reserved prognosis. Appropriate antimicrobial therapy is therefore the mainstay of treatment, alongside organ support as needed. Legionnaires’ disease is mainly due to Legionella pneumophila serogroup 1 but it can be caused by other serogroups and species not detected by the urinary antigen test. Anti-tumour necrosis factor α therapy may increase the risk of invasive fungal infection, which carry a poor prognosis. We present a challenging case of a septic shock due to Legionella pneumophila and Saprochaete clavata infections, with a review of the two infections presented.http://www.sciencedirect.com/science/article/pii/S2214250921003255Legionnaires’ diseaseSaprochaete clavataAnti-TNF-α therapyExtracorporeal membrane oxygenationRenal replacement therapyPlasmapheresis |
spellingShingle | João Paulo Caldas André Silva-Pinto Ana Sofia Faustino Paulo Figueiredo António Sarmento Lurdes Santos Septic shock due to co-infection with Legionella pneumophila and Saprochaete clavata IDCases Legionnaires’ disease Saprochaete clavata Anti-TNF-α therapy Extracorporeal membrane oxygenation Renal replacement therapy Plasmapheresis |
title | Septic shock due to co-infection with Legionella pneumophila and Saprochaete clavata |
title_full | Septic shock due to co-infection with Legionella pneumophila and Saprochaete clavata |
title_fullStr | Septic shock due to co-infection with Legionella pneumophila and Saprochaete clavata |
title_full_unstemmed | Septic shock due to co-infection with Legionella pneumophila and Saprochaete clavata |
title_short | Septic shock due to co-infection with Legionella pneumophila and Saprochaete clavata |
title_sort | septic shock due to co infection with legionella pneumophila and saprochaete clavata |
topic | Legionnaires’ disease Saprochaete clavata Anti-TNF-α therapy Extracorporeal membrane oxygenation Renal replacement therapy Plasmapheresis |
url | http://www.sciencedirect.com/science/article/pii/S2214250921003255 |
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